GREEN BAY EMERGENCY PHYSICIANS, LLC
NPI 1083662712
Emergency Medicine in Green Bay, WI

Q: What is Green Bay Emergency Physicians, LLC's NPI number?

The NPI number for Green Bay Emergency Physicians, LLC is 1083662712. It was assigned to this organization in the NPPES registry on May 5, 2006.

Q: What is Green Bay Emergency Physicians, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 05, 2006

1726 SHAWANO AVE, GREEN BAY, WI 54303(414) 290-6718(414) 290-6755 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2024, Mar 30, 2023, Aug 28, 2019 and 1 more (4 updates tracked since 2019).

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About Green Bay Emergency Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN BAY EMERGENCY PHYSICIANS, LLC (NPI 1083662712) is a healthcare organization registered as an emergency medicine in Green Bay, Wisconsin and active in the NPI registry since May 2006. The organization lists Karen Vaughn, Officer, as its authorized official.

NPPES Registry Identity

NPI1083662712

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameGREEN BAY EMERGENCY PHYSICIANS, LLC

Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3216

Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6718 · Fax (414) 290-6755

Phone(414) 290-6718

Fax(414) 290-6755

Organization SubpartNo

Authorized OfficialKaren VaughnOfficer · (973) 251-1132

Enumeration DateMay 5, 2006

Last NPPES UpdateFebruary 8, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1083662712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X

1726 SHAWANO AVE, Green Bay, WI 54303

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Other Identifiers 5

Medicaid32875300WI

Other120003951WI · Wea

Other137598401WI · Owcp

OtherCI8038WI · Medicare Railroad

Other020151500WI · Federal Black Lung Progra

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUNHONG PACE NP

Nurse Practitioner (Family)